Define the direction, policies, processes and procedures for U&I, Claim and Premium investigation.
Track and monitor to ensure that all investigation cases are completed with accuracy in timely manner and within the budgets.
Build and maintain the good relationship with hospital, polices station, court, OIC, etc to gain the deep information for further investigation.
Track and monitor to ensure that on-field management for U&I and Claim Investigation is implemented with quality in timely manner and within the budgets.
Manage budgeting, and ensure that each investigation case are closed within the budget.
Review the reports regarding to fraud cases and premium investigation, define the areas of improvement, and work with the relevant parties for improvement.
Summit the reports of agent’s fraud cases to Ethic Committee.
Track and monitor the progress of all investigation cases, and review the weekly reports regarding to investigation.
Bachelor’s or Master’s Degree in Business Administration, Finance & Accounting, Nursing, Business of Sciences (Medical Technology), or other related field.
8 to 12 years’ experience in Investigation, Auditing, Claim Management, Underwriting, or other related fields in bank or insurance industry.
Analytical thinking skill.
Problem solving and decision skill.
Coordination and communication skill.